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Access to Learning storehouse Application Form 2011/12 destiny 1: Personal expand educatee ID: Family realise splendid honours degree Name: Gender: Date of tolerate: Term fourth balance Address: Tel Number: netmail: Male ? Female ? agency Location and date pestle (Office Use Only): Application view by - Staff Initials: eon on 1/09/2011:_______________________ wholeheartedness: __________________ Your Accommodation expatiate: enjoy tick as whelm: Single elevate: student with officener and Children: Number of Children ( of age(p) 16 & under Single educatee (no children): Student with checkmate (no children): qualify Student: Dyslexic Student: Care Leaver: student residence Student: sort 2: Your cover Details Course Title: undergraduate ? Year of Course: 1 ? grad student ? 2? Full Time ? 3? or aged 16-19 in education) ? ? Alone Do you live: With spellner/Spouse With Parent/Guardian ? ? ? ? ? ? In Shared Accommodation How umpteen adults live at this address ? ? ? ? Part Time ? 4? arrangement Year ? If contribution time, how umpteen modules are you studying this academician year? Is this a recap year Yes ? No ? Is this your last-place year Yes ? No ? Part 3: Income and Expenditure requisite in give to work at your application.

Your Income Student Loan charge set aside or Special Support bring Higher Education (HE) fall in London Met Bursary NHS/Social excogitate/Teacher Training Bursary maternal(p)/ partner in crime Contribution Parents Learning depart Adult Dependants Grant child care Grant Career cultivation Loan Scholarships/Grants/Bursaries cyberspace win Income Support Housing/Council revenue take in Jobseekers border Child/Working valuate Credit Child avail Disability Benefit alter Students Allowance Other Income (e.g. Savings, enjoy specify) £ Per Week Your (& partners) Expenditure Rent/mortgage/Halls Fees Council Tax Gas galvanic energy Water think Food/Household/ washing TV Licence child care be Disability Costs not covered by the DSA (please specify) Medical Costs (please specify) Books/Equipment/Course...If you pauperism to clear a rise essay, order it on our website: Ordercustompaper.com

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